This study evaluated the pulpal response in human dental pulp to direct pulp capping with the Single Bond Adhesive System (SBAS) after 10% or 37% phosphoric acid etching and after capping with Calcium Hydroxide (CH). The degree of bleeding and hemostasis conditions was considered during the adhesive technique. The pulps of 78 sound premolars were capped with SBAS after 37% phosphoric acid etching (Group I) or 10% phosphoric acid etching (Group II) and CH (Group III-control). The cavities were restored with a resin composite (Charisma). After 1, 3, 7 and 30 days, the teeth were extracted and processed for light microscopical examination (H/E, AgNOR silver stain and Brown-Brenn). The patients were followed for postoperative symptomatology evaluation. Clinical results showed the possibility of hemostasis with saline solution only. There was no statistical difference between bleeding generated by 10% and 37% acid solutions. In some cases, contact of the pulp tissue with SASB started the bleeding process, thus damaging the adhesive technique. The histological response was similar in Groups I and II, without signs of cellular differentiation and dentin neoformation up to 30 days. Bacteria were not observed in any specimens. In the control group (CH) at day 7, the pulps exhibited cells with high synthetic activity (Ag-NOR-positive) underneath the area of coagulation necrosis. Dentin bridging was observed at the thirtieth day. The postoperative period was asymptomatic for all groups. In conclusion, SBAS should be avoided for vital pulp therapy, while CH remains the capping agent of choice for mechanically exposed human dental pulp.

It is possible to obtain histological preparation of teeth and periodontium with satisfactory levels of quality by means of routine histological techniques, since specific cares are implemented during the sample processing. The formation of access ducts for the quick penetration of the fixative solution, the complete removal of the demineralizing agent and the increase of the time of dehydration, clearing, and paraffin embedding are some of these cares. A variety of fixing and demineralizing solutions have been proposed in the literature for teeth and periodontium processing. The author's' experience along the years demonstrated the possibility of satisfactory results with 10% buffered neutral formalin as fixative solution and 10% pH 7.3 EDTA as demineralizing solution. Sections of 6 μm in thickness obtained from paraffin-embedded samples, stained with hematoxylin and eosin, comply with the most morphological and morphometric evaluations. Besides, this routine protocol allows the use of serial sectioning for more specific techniques such as histochemical and immunohistochemical analyses, which are suitable for cellular constituent and extracellular matrix evaluation of teeth and periodontium. For the study of mineralized phases of isolated human teeth, ground sections can be obtained by the cutting-grinding technique. Though it is a recognized method of study, there are some technical difficulties involved, which are little exploited in the literature. This chapter presents a detailed cutting-grinding protocol for the histological evaluation of undecalcified isolated teeth and routine histology, which can be easily reproduced in any research or teaching support laboratory.

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Dorsal pancreatic agenesis is a very rare congenital anomaly. Unilateral renal agenesis, on the other hand, is a relatively common congenital anomaly, although its etiology is not fully understood. Renal and pancreatic embryologic development appears to be nonrelated. We report a case of a 34-year-old man who was referred to our hospital for evaluation of cholestasis and microalbuminuria. Ultrasound and magnetic resonance imaging examinations showed empty right renal fossa and absence of the pancreatic neck, body, and tail. Our case report is the second case of a dorsal pancreatic agenesis and unilateral renal agenesis in a young male patient.

The aim of this study is to present two cases in which dental implants greatly enhanced the forensic human identification and to show the important role of the implant dentist in this process. The skeletonized remains of two victims with dental implants were sent for exams. The morphological features (qualitative) and linear measurements (quantitative) of the implants were analyzed in the ante-mortem and postmortem radiographs. The points of coincidence observed in both the implants and teeth showed compatibility of findings that led the experts to determine the positive identification. The implants found in the bodies were decisive in the process of identification. This identification was only possible because the implant dentists presented complete documentation with good technical quality, enabling an efficient expert approach to comparison of the data. Therefore, it is important to make implant dentists aware of this significant role because they may be asked by the authorities or family members of the deceased to present a complete record chart.